MANISH MADHUKAR SHUKLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098634

License Status

ACTIVE

Business

First Name

MANISH

Middle

MADHUKAR

Last Name

SHUKLA

Suffix

Business Name

MANISH MADHUKAR SHUKLA MD

Original Issue Date

08/12/1998

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023